Palliative Care

Question 1

Anxiety about death is a central concern of many seriously ill children

Answer 1

True

Question 2

Pain use the assessment FLACC

Answer 2

2 steps on the ladder 
1 <4 use panadol/ibuprofen 
2 >4 use opioids weight appropriate 
Other eg neuropathic pain gabapentin
Non pharmacological play, radioatherpay, surgery

Question 3

Dysponea

Answer 3

Opioids shown to help SOB
Anxiety is part of this so benzodiazepines
Bronchodilators SABA may help wheeze

Question 4

Nausea and vomiting

Answer 4

Common 
Different pathway different treatment ear.gut. Brain 
Maxolon domeriodone ondensetron
mouth care
Constipation

Question 5

Seizures

Answer 5

Have a treatment plan
Emergency eg diazepam
Maintence phenytoin/ epilum
Continuous PR when oral route not available

Question 6

Secretions

Answer 6

Distressing symptoms
Terminal phase d.w family
Treat with position, suctioning, anticholinergic patches